Passage Village of Laurel Run Operations, LLC
NPI #1760841167 in Fayetteville, Pennsylvania
Provider Information
- NPI Number
- 1760841167
- Entity Type
- Organization
- Organization Name
- Passage Village of Laurel Run Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 15, 2016
- Last Updated
- Feb 15, 2016
Practice Location
- Address
- 6375 CHAMBERSBURG RD
- City
- Fayetteville
- State
- Pennsylvania
- ZIP Code
- 17222-8350
- Phone
- (717) 352-2721
Authorized Official
- Name
- MR. LARRY COTTLE
- Title
- ADMINISTRATOR
- Phone
- (717) 352-2721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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